Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $3,596.00 / $10,836.00	Facility		$647.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $368.59 / $594.45	Professional		$325.05	$368.59	$594.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.67 / $680.17 / $3,508.35	Facility		$394.67	$680.17	$3,508.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.31 / $460.01 / $669.46	Professional		$343.31	$460.01	$669.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $369.57 / $369.57	Facility		$369.57	$369.57	$369.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.64 / $521.55 / $768.65	Professional		$397.64	$521.55	$768.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,217.50	Facility		$55.00	$55.00	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,074.35 / $3,074.35 / $3,643.88	Professional		$3,074.35	$3,074.35	$3,643.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.06 / $491.23 / $1,109.48	Facility		$395.06	$491.23	$1,109.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.75 / $625.55 / $735.95	Professional		$449.75	$625.55	$735.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $523.40 / $523.40	Professional		$523.40	$523.40	$523.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.30 / $491.89 / $1,161.56	Facility		$396.30	$491.89	$1,161.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.67 / $532.34 / $833.21	Professional		$397.67	$532.34	$833.21
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $440.85 / $728.81	Professional		$322.91	$440.85	$728.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $396.30 / $546.64	Professional		$348.95	$396.30	$546.64